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General NPI Number Information
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NPI Number | 1063554020
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Entity Type | Organization
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Legal Business Name | SAINT VINCENTS COMPREHENSIVE CANCER CENTER
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 325 WEST 15TH STREET
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City | NEW YORK
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State | NY
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Zip | 10011
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Country | US
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Telephone | 212-604-6013
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Fax |
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Provider Business Mailing Address
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Address Line | 325 WEST 15TH STREET
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City | NEW YORK
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State | NY
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Zip | 10011
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Country | US
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Telephone | 121-260-4601
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Fax |
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Authorized Official
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Title or Position | VP EXECUTIVE DIRECTOR
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Name | DONNA PARK
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Credential |
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Telephone | 12123671734
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State | NY
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